<form action="" method="get" name="registro_user" id="registro_user">
   <fieldset class="esquinas_redondeadas"><legend>Urbandower Register Data</legend>
    
        <div class="mandatory">
            <p><small>All the fields are mandatory</small></p>
        </div>
        
        <div style="float:left; width:50%;">
            <input name="nombre_usuario" type="text" id="nombre_usuario" size="50" value="" placeholder="User name" class="personalizar formulario_B esquinas_redondeadas"/>
            <input name="email" type="text" id="email" size="50" value="" placeholder="Your E-mail" class="personalizar formulario_B esquinas_redondeadas"/>
            <input name="repite_email" type="text" id="repite_email" size="50" value="" placeholder="Re-enter Email" class="personalizar formulario_B esquinas_redondeadas"/>
             
             <input type="button" name="boton_registro" value="SIGN UP" class="personalizar boton_formulario_B esquinas_redondeadas">
        </div>  
        
        <div style="float:left; width:45%; border-left:1px #CCC solid; text-align:center;">  
            <img src="images/urbandow_mobile.png" width="200" height="300" alt="Urbandower card" />
		</div>
        
        <div class="clear separador"></div>
        
        <div class="mandatory">
            <p>Fusce mollis libero vel nisi adipiscing tristique. Donec at sapien mattis, placerat elit non, ullamcorper justo. Phasellus consectetur et velit non mollis. Integer ultrices, lacus vestibulum adipiscing ultrices, mauris urna malesuada nulla, eu consectetur diam leo id lorem.</p>
        </div>
        
    </fieldset>
</form>